Organization
GREGORY A WIENER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALAN WIENER MD (OWNER)
(773) 736-3990
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 451, CHICAGO, IL 60631-3745
(773) 763-3990
(773) 763-6346
Mailing address
7447 W TALCOTT AVE, SUITE 451, CHICAGO, IL 60631-3745
(773) 763-3990
(773) 763-6346
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
IL
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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